Individual provider · Type 1 NPI

Jackie Shaffer

Licensed Practical Nurse · Shelton, WA

NPI number 1205535804 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Call (360) 205-8010 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60198375 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1205535804

Jackie Shaffer's National Provider Identifier is 1205535804, issued on Mar 2, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelton, WA. The record was last updated on Mar 2, 2023.